[abstract] EVALUATION OF THE 140 MEDICAL RECORDS OF DECOMPRESSION ILLNESS AT THE SABA MARINE PARK HYPERBARIC FACILITY - 13-YEAR EXPERIENCE

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[abstract] EVALUATION OF THE 140 MEDICAL RECORDS OF DECOMPRESSION ILLNESS AT THE SABA MARINE PARK HYPERBARIC FACILITY - 13-YEAR EXPERIENCE

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Title: [abstract] EVALUATION OF THE 140 MEDICAL RECORDS OF DECOMPRESSION ILLNESS AT THE SABA MARINE PARK HYPERBARIC FACILITY - 13-YEAR EXPERIENCE
Author: Griffin, C; Aksenov, IV; Kooistra, D
Abstract: INTRODUCTION This study evaluates the patients who presented to the Saba Marine Park Hyperbaric Facility (SMPHF) from March, 1990, to August, 2002, with a diagnosis of Decompression Illness to determine the most common presenting symptom. History and physical examination documentation was also reviewed. MATERIALS AND METHODS Records of 140 patients were reviewed. The following variables were analyzed: gender, symptoms, diagnosis, DAN Diving Injury Report Form (DIRF), and other relevant documentation. The DAN Diving Injury Report Form provided much of the patient's history. Patients' complaints were also obtained from the Physician's Diagnosis Form and Supervisory Record Form. RESULTS Findings revealed 15percent of patients were diagnosed with Decompression Sickness I, 81percent with Decompression Sickness II, 2percent with Arterial Gas Embolism and 2percent were unable to be determined. Male patients included 61percent, and female patients were 35percent. Only one symptom was reported by 38percent of patients and multiple symptoms for 62percent. The maximum amount of symptoms reported at SMPHF was six with a total amount of 276. The mean was 2. The most common presenting symptom was paresthesias 61percent followed by vertigo, 19percent. The third was extremity pain,18percent. SMPHF reported 72percent of patients had a DAN Diving Injury Form and 28percent did not. History and physical exam documentation was recorded for 6percent of patients and 57percent had a neurological exam documented. No examination was documented for 33percent of patients. CONCLUSIONS Decompression sickness may present with a multitude of symptoms. Based on evaluation of the records at SMPHF new guidelines for the history taking and physical examination were recommended.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/1252
Date: 2003

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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